{include file="top.tpl"}
 <link type="text/css" href="{$WPATH}css/ui-lightness/jquery-ui-1.8.6.custom.css" rel="stylesheet" />	
<script type="text/javascript" src="{$WPATH}js/jquery-ui/jquery-1.4.3.min.js"></script>
<script type="text/javascript" src="{$WPATH}js/jquery-ui/jquery-ui-1.8.6.custom.min.js"></script>
<script>
{literal}
	$(function() {
		$( "#dob" ).datepicker({ 
				dateFormat: 'dd-mm-yy',
				changeMonth: true,
				changeYear: true,
				yearRange: "-100:+100",
				showButtonPanel: true
		});
	});
	{/literal}
</script>   	
<script type="text/javascript" src="{$WPATH}js/request.js"></script>
    <div class="topmenufone">
    	<span style="font-size:13px">SION - VALAIS - SUISSE</span><br />
        Tel: ++41 27 322 55 60 - ++41 27 322 56 70
    </div>
    <div class="fr-content">
    	<div class="fr-menu-left">
        	<div class="fr-menu-right">
            	{include file="topmenu.tpl"}     
       		</div>
       	</div>
            {include file="form-search.tpl"} 
            
            
            <div class="fr-banner-about">
            	<div class="fr-content-about">
                    
                    <form name="frmRequest" id="frmRequest" method="post"  action="" onSubmit="return onRequest('frmRequest', 'ajaxResponse','{$WPATH}request/pre-register','{$WPATH}request/pre-register'); ">
                	<div class="title-page">Request for Informations</div>
                    
                    <div style="width:430px">
                    Pre-registration provides Premium Access to updated additional information, including student's guide, advice to travel to Switzerland, FAQ, financial conditions, year calendar and much more).
                    </div>
                    <div id="ajaxResponse" class="message"></div>
                    <div class="form-request">
                    	<div class="left fr-input">
                        	<input type="hidden" name="act" value="sendregister"/>
                        	<input type="text" name="name" value="Name"  onfocus="javascript:if(this.value=='Name')this.value=''" onblur="javascript:if(this.value=='')this.value='Name' "/>	<br />
                            <input type="text" name="dob" value="date of birth" id="dob"  onfocus="javascript:if(this.value=='date of birth')this.value=''" onblur="javascript:if(this.value=='')this.value='date of birth' "/><br />
                            <input type="text" name="email" value="email"  onfocus="javascript:if(this.value=='email')this.value=''" onblur="javascript:if(this.value=='')this.value='email' "/><br />
                           	
                        </div>
                        <div class="left fr-area">
                        	<textarea name="information"  onfocus="javascript:if(this.value=='Message Content')this.value=''" onblur="javascript:if(this.value=='')this.value='Message Content' ">Message Content</textarea>
                        </div>
                        <div class="clear"></div>	
                        <input type="submit" class="request-submit" value="Submit" />	
                    </div>
                    </form>
              </div>
            </div>
			<div class="icon-page">
			{include file="linkbottom.tpl"}
            </div>
        	{include file="rightside.tpl"} 
	</div>
    
    
{include file="footer.tpl"}

